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-   -   Robotic hysterctomy vs. c-section cut (http://www.splitcoaststampers.com/forums/everyday-chit-chat-f10/robotic-hysterctomy-vs-c-section-cut-t560551.html)

virpags 09-06-2012 07:22 AM

Robotic hysterctomy vs. c-section cut
 
Has anyone recently had to decide between the usual hysterctomy with a c-section cut or the newer robotic hysterctomy procedure? Which one did you choose and why? Thanks for sharing!

CraftyMel2 09-06-2012 01:50 PM

By "robotic"...do you mean the laser surgery? No scar? If that is the one then that is the one that I had and I was very happy with the whole thing. Healing time was quick and pain was nonexistant. I was up and around within a couple of days and back to work less than 10 days after the surgery.

sillyfilly 09-06-2012 08:38 PM

I had the cut version years ago and if you can do otherwise I highly recommend it. Why put your body through that stress and pain?

CraftyMel2 09-07-2012 04:56 AM

I looked it up and what I read said that it was pretty much the same one that I had...arthroscopic (probably not spelled correctly)...I said laser before and was mistaken. I say go for it, like sillyfilly said, why put your body through the stress and pain if you don't have to? My Dr did not really give me a choice...just told me that this is how it is done now and I went with that...who am I to argue, he is the expert. Imagine "No, I would rather go for the long recovery and big scar option, thank you" haha!

amahanes 09-07-2012 10:16 AM

I work for one of the companies who make the devices that are used in the minimally invasive approach that you mention. Minimal scarring and amazing what they can do. I assume you do not have cancer (and really hope that is not the case), if you were offered this approach. If it the same procedure that I am thinking it is, you will likely only have a few 1/2" cuts on your lower belly and you won't be out of commission very long. You will have so much less pain and recovery. Some ladies are up and about the very next day!

LidaB 09-07-2012 06:02 PM

I wasn't given the option when I had my hysterectomy three years ago... I had uterine fibroids, ovarian cysts, and undiagnosed endometriosis, and I ended up with an 8" "c-section" incision and another 8" vertical incision through the muscle behind my belly button. Trust me when I say I still have pain from that vertical incision. Wow. If I could have done it any other way I would have in a heartbeat!

virpags 09-08-2012 05:00 PM

Thanks ladies, for your input. No cancer, just fibroids. But my doctor does not do the robotic hysterctomy (5 small incisions vs one larger one) because he says you are under anesthesia twice as long for the robotic. I am going next week to see another doctor who does do the robotic procedure, to get his opinion and to see if I am a candidate. But yes, the hospital stay and healing time are supposed to be much shorter. So, I was just posting here to get other female opinions. Thanks again!

stampwithjoanne 09-08-2012 05:12 PM

I can google this, too, but what then is the difference between the "robatic" and the "laproscopic?" My doc was talking "laproscopic." Do I want the "robatic" instead?

maryrose 09-10-2012 06:13 PM

This is good to know. I'm going to see my GYN next week to discuss this. I, too, have fibroids, so I don't know if I will be a viable candidate for this procedure, but it doesn't hurt to ask!

edie453 09-10-2012 07:35 PM

Unfortunately, I have way too much experience with abdominal surgery. I suffered from endometriosis for years and finally had my uterus removed (and ovaries too, which I do not suggest unless you absolutely must). I had the slice through the abdomen twice and the third time it was laparoscopic. Robots were not available way back then. I was young and the idea of researching before surgery was new...until my last surgery...I decided on laparoscopic and then searched for the surgeon with the most experience....I asked the nurses. My husband was diagnosed with prostrate cancer and we researched the options for months. This is what I have learned.....
It all depends on the skill of the surgeon, what they're used to, as to what they'll suggest and what they'll be good at. The robot and/or laparoscopic makes the smallest incision and therefore less likely for infection....blood loss is supposed to be less too. If you go for robot, make sure the surgeon has plenty of experience. We found that we decided which procedure sounded the best, then we searched for the surgeon with the most experience. I ended up with a fertility specialist that performed tons of laparoscopic surgeries. He was a total jerk, but a skilled surgeon. For my husband's surgery, we found a surgeon who trained other doctors on the DaVinci robot and had performed more robotic surgeries than almost all other doctors.
Surgery sucks, but so does living with pain (or cancer). Best wishes for a clean surgery and quick recovery.

maryrose 09-20-2012 11:45 AM

Saw my doctor today, and hoping to schedule my laproscopic hysterectomy for some time next month. Can't wait to get it done and be over with this!

wright1 09-20-2012 09:28 PM

I had the laproscopic surgery 3 years ago due to fibroids. I still have both ovaries. While I love the fact that I do not have to deal with periods, I wish I had known about all the side effects.

I have dealt with perimenopause. I use to have so much hair that I couldn't pull my hair into a ponytail because the weight of it would make my head hurt. I no longer have to deal with that.

I have melasama all over my forehead, both cheeks and am still getting more. Its due to a hormonal imbalance.

Lower sex drive, etc...

For those of you considering this procedure please make sure you not only do research on the procedure but also what happens afterward.

After I started having side effects due to the hysterectomy, I found this site and had a lot of questions answered.
Hysterectomy Support Discussions, Before Hysterectomy, After Hysterectomy, Recovery - HysterSisters

Forgot to mention, my surgery was a breeze. Very little pain, took it easy for a couple of days and I was back to normal. Have two tiny little scars that if I didn't point them out to you, you wouldn't know they were there.

maryrose 09-25-2012 02:42 PM

Quote:

Originally Posted by wright1 (Post 19700626)
I had the laproscopic surgery 3 years ago due to fibroids. I still have both ovaries. While I love the fact that I do not have to deal with periods, I wish I had known about all the side effects.

I have dealt with perimenopause. I use to have so much hair that I couldn't pull my hair into a ponytail because the weight of it would make my head hurt. I no longer have to deal with that.

I have melasama all over my forehead, both cheeks and am still getting more. Its due to a hormonal imbalance.

Lower sex drive, etc...

For those of you considering this procedure please make sure you not only do research on the procedure but also what happens afterward.

After I started having side effects due to the hysterectomy, I found this site and had a lot of questions answered.
Hysterectomy Support Discussions, Before Hysterectomy, After Hysterectomy, Recovery - HysterSisters

Forgot to mention, my surgery was a breeze. Very little pain, took it easy for a couple of days and I was back to normal. Have two tiny little scars that if I didn't point them out to you, you wouldn't know they were there.

You had me at "I do not have to deal with periods." Everything else was like "Yep, I can deal with that. No more periods? Sign me up!" LOL Seriously, I haven't been able to work this year because there are at least one or two weeks that are unbearable every month. It has negatively impacted my life long enough.

Scheduled my surgery today for November. Would've done it sooner if I could have, but I'll be counting down the days.

StampnCroplady 10-08-2012 02:42 PM

I had a laproscopic robotic a week and a half ago. I heal slowly in general. The surgery took about 1-1/2 hours (at least that was what was expected). I kept my ovaries. I had endometriosis (probably spelled that wrong) and fibroids (no cancer). I have 4 small incisions where they incerted instruments and some pin pricks around my belly button (not sure what that's about). I was able to walk that evening at the hospital. I was released the next morning and have been doing well. I have some healing issues due to previous surgieries in the same area but I'm very impressed with how well I'm doing.

I would go for robotic in a heartbeat. My doctor told me that if something extra was wrong he may have to do the c-section type thing to open me up but wasn't concerned that it would be needed (and it wasn't).

Go robotic!!! Cheer!

Good luck to you and I hope all goes well either way you choose.

virpags 10-08-2012 03:27 PM

Wow, I am so happy to hear that you had good results and are doing well after the robotic surgery!! And it is encouraging news for me. I did change doctors and am scheduled for the robotic hysterectomy on 11/2. I want thank all of you who replied and helped me have the courage to change doctors (I wasn't super attached to my doctor, I just don't like change!) Anyway, I had my pre-op chest xray and ekg today. I am so looking forward to having this surgery over and done with. I want to live pad free!!
(Hopefully I have a few good years before the incontinence pads are needed...HA!)

maryrose 10-08-2012 05:04 PM

My surgery is scheduled for Nov. 8th, and lucky for me, the Hallmark channel countdown to Christmas movies start on Nov. 9th! So while I'm recuperating, I can watch my favorite sappy holiday movies!

My doctor requires that I drink magnesium citrate the day before surgery (the same stuff they give you before a colonoscopy). Not looking forward to that...I hear it's nasty stuff. Guess I'll be staying close to home (and the bathroom) that day!

Good luck to you! By Christmas time, we'll be new women! Yea!

virpags 11-07-2012 01:42 PM

Maryrose, good luck to you tomorrow! My doctor actually had me not eat or drink after midnight before the surgery, and on a totally clear diet for 24 hours prior to that, so I didn't find the magnesium citrate so bad. I ended up being in surgery much longer than expected, about 6 hours, because my uterus and fibroids were much larger than the ultrasound showed. Of course, the ultrasound they had was taken in Dec. 2011 and they never ordered a more current one. I had had a d&c in January 2012 and an endometrial ablation in March 2012, and the darn things must have still kept growing!! I sure wish I could have went straight to the hysterectomy instead of messing around with the other procedures first. Even with the longer surgical time, I still was only in the hospital one night, and was home by noon the next day. I did not find surgical pain bad at all, I had more problems with my shoulders being terribly sore. For the robotic assisted hysterectomy, I guess they have you in a position that puts pressure on your shoulders, and being in surgery so long, that is the biggest problem I had. Other than that, the day after surgery I was not able to wipe myself after peeing and needed help getting in and out of bed. But the next day I was able to do both. Walking and showering were okay, so overall, I am thrilled to have it over and done with. I'm sorry if this information is tmi for some, but it might help others.

virpags 11-07-2012 01:46 PM

Oh, I also wanted to say that I have 5 small incisions between the belly button and chest. I did have everything removed, ovaries, uterus and cervix.

edie453 11-07-2012 02:05 PM

Prayers for an uneventful surgery and a quick recovery. You will be surprised by how your body will heal. Much of the recovery involves getting the drugs out of your body. I believe the sore shoulders can be due to the gas trying to leave your body. I don't know all the medical terms. My complaint was when the intestines begin to wake up again, there can be much discomfort and flatulence.
You will be very surprised at how much pain you have been living with, once you're on the mend and feeling well. Plus, no worries when you wear white slacks;)
Please keep us all posted on your recovery....

stampwithjoanne 11-07-2012 02:33 PM

I could be wrong here, but I think the "robotics" just gives the surgeon a better look at what they are removing.

Laproscopic (whether robotics or not) is the way to go. Smaller incisions. Quicker recovery.

I don't believe you can do laproscopic if you have endometrosis.

Just had laproscopic done (uterus plus ovaries removed) on Oct. 29th. They sent me home late that morning! First 2 days were a bit rough/painful. Day 3 managable. Am in Day 10 right now and re-started (slowly!) my usual walking routine. Should return to work on Monday, Day 14.

StampnCroplady 11-08-2012 05:41 AM

The pain you felt in your shoulder is from the gas that is used to "blow up" your abdomen. Walking as much as you can will help the gas get absorbed and pass. You may notice that you pass a lot more gas either through burping or other ways (I know, yuck) but the gas must get out somehow.

It's been a month since my surgery and I feel great. Couldn't even tell I had surgery other than no more periods and the issues that went along with them. Yea!!!

edie453 11-08-2012 06:48 PM

Quote:

Originally Posted by StampnCroplady (Post 19810475)
The pain you felt in your shoulder is from the gas that is used to "blow up" your abdomen. Walking as much as you can will help the gas get absorbed and pass. You may notice that you pass a lot more gas either through burping or other ways (I know, yuck) but the gas must get out somehow.

This is absolutely correct. You should get up and move as soon as you're able, and as much as you're able. You need to get things working and rid your body of the gas. It can take a couple of days.

Also, in response to a comment a few comments up, I suffered for years with endometriosis, leaving extensive scarring. The surgeon informed me that as a last resort they would cut. Fortunately the surgery was done laparoscopic, (smaller incision, smaller scars, faster healing of the cut, less chance for infection). Robotics wasn't an option years ago. From my recent research for my husband's prostate surgery, it really depends on the skill of the surgeon and what they're more experienced doing. Most likely any surgeon of the younger era is very experienced with laparoscopic. As far as robotic, they really need to have done plenty of robotic. You have to ask so many questions, and then figure out the insurance options.

Rejoice that we have so may choices and capable surgeons.

maryrose 11-10-2012 08:25 AM

Hello, ladies! I'm home recovering now, and feeling great! Even though I'm still a bit bloated and swollen, I already feel better! I know that I'm going to be so thankful I had this done!

I'm amazed at how small the three incisions are. I was able to get up and go to the bathroom on my own that evening, and the next morning was sitting up in bed eating breakfast and watching TV when my doctor came in to discharge me. I've been home for twenty four hours, and I'm feeling great. I was able to shower this morning, and feel that the more I get up and move a little, the better off I feel.

I, too, had fibroid tumors. Rather than fool around with pills or ablations, I decided to just go with the laproscopic surgery and be done with it. I kept my ovaries, by the way. But my uterus was always so bloated and putting pressure on my organs, so I'm already feeling that has eased.

This board is always so helpful with information. Thank you, ladies!

StampnCroplady 11-10-2012 09:19 AM

Glad you're feeling well.

edie453 11-10-2012 03:48 PM

Great to hear that you're doing so well, thanks for letting us know! And you are going to be so happy that you were able to keep your ovaries....they're quite handy :)


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